Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Crockett, PSYD

Individual provider Cognitive & Behavioral Psychologist · NPI 1780074807

Dr. Michael Crockett, PSYD is a Clinical Psychologist in Gresham, Oregon. Qualified in 2014, 12 years ago. Practices as a sole proprietor and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2015
Specialties on file
4
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

4316 SE 182nd Ave
Gresham, OR 97030-5058
Phone: (503) 893-2249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X
Counseling Psychologist Taxonomy 103TC1900X
Group Psychotherapy Psychologist Taxonomy 103TP2701X

Record details

NPI number1780074807
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 27, 2015
Last updated in NPPESMarch 2, 2022
Certification dateMarch 2, 2022
Mailing address2315 Ne Francis Ct, Gresham, OR 97030-3155

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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